北京市失能老人上门医疗服务质量评价指标体系的构建研究
R161.7; 背景 随着我国老龄化程度不断加深,失能老人对上门医疗服务的需求日益增加,而对服务质量的评价是服务高质量实施的有力保证.目的 基于德尔菲法制定北京市失能老人上门医疗服务质量评价指标体系,为社区卫生服务机构向失能老人提供上门医疗服务的质量评价提供客观标准.方法 于 2021 年 3-5 月根据文献研究和定性研究初步形成指标体系条目池,并设计专家函询表.选择北京市在上门医疗服务和老年综合评估领域有经验的社区护理、全科医学及管理研究专家 21 名,于 2021 年 6-10 月以邮件形式发出专家函询表,进行 3 轮德尔菲专家函询,并统计专家的个人信息及权威程度相关指标,建立北京市失能老...
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| Published in | 中国全科医学 Vol. 27; no. 10; pp. 1215 - 1220 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
100069 北京市,首都医科大学全科医学与继续教育学院%100075 北京市丰台区大红门社区卫生服务中心
05.04.2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1007-9572 |
| DOI | 10.12114/j.issn.1007-9572.2023.0572 |
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| Abstract | R161.7; 背景 随着我国老龄化程度不断加深,失能老人对上门医疗服务的需求日益增加,而对服务质量的评价是服务高质量实施的有力保证.目的 基于德尔菲法制定北京市失能老人上门医疗服务质量评价指标体系,为社区卫生服务机构向失能老人提供上门医疗服务的质量评价提供客观标准.方法 于 2021 年 3-5 月根据文献研究和定性研究初步形成指标体系条目池,并设计专家函询表.选择北京市在上门医疗服务和老年综合评估领域有经验的社区护理、全科医学及管理研究专家 21 名,于 2021 年 6-10 月以邮件形式发出专家函询表,进行 3 轮德尔菲专家函询,并统计专家的个人信息及权威程度相关指标,建立北京市失能老人上门医疗服务质量指标体系.结果 3 轮专家函询表均全部收回且全部有效,专家积极系数为100.00%,21位专家权威程度在0.700～1.000,平均为0.927,达到可接受标准.第1轮专家函询的指标重要性、可行性协调系数分别为0.170和0.140(P<0.001),第2轮分别为0.147和0.175(P<0.001),第 3 轮分别为 0.231 和 0.208(P<0.001),专家意见趋于一致,函询结果可靠.最终构建的失能老人上门医疗服务质量评价指标体系包括服务条件、服务过程和服务结果共 3 项一级指标、9 项二级指标和 34 项三级指标.结论 所构建的指标体系适于评价单次上门医疗服务的实施质量,可为社区卫生服务机构制定相关制度与方案提供参考. |
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| AbstractList | R161.7; 背景 随着我国老龄化程度不断加深,失能老人对上门医疗服务的需求日益增加,而对服务质量的评价是服务高质量实施的有力保证.目的 基于德尔菲法制定北京市失能老人上门医疗服务质量评价指标体系,为社区卫生服务机构向失能老人提供上门医疗服务的质量评价提供客观标准.方法 于 2021 年 3-5 月根据文献研究和定性研究初步形成指标体系条目池,并设计专家函询表.选择北京市在上门医疗服务和老年综合评估领域有经验的社区护理、全科医学及管理研究专家 21 名,于 2021 年 6-10 月以邮件形式发出专家函询表,进行 3 轮德尔菲专家函询,并统计专家的个人信息及权威程度相关指标,建立北京市失能老人上门医疗服务质量指标体系.结果 3 轮专家函询表均全部收回且全部有效,专家积极系数为100.00%,21位专家权威程度在0.700～1.000,平均为0.927,达到可接受标准.第1轮专家函询的指标重要性、可行性协调系数分别为0.170和0.140(P<0.001),第2轮分别为0.147和0.175(P<0.001),第 3 轮分别为 0.231 和 0.208(P<0.001),专家意见趋于一致,函询结果可靠.最终构建的失能老人上门医疗服务质量评价指标体系包括服务条件、服务过程和服务结果共 3 项一级指标、9 项二级指标和 34 项三级指标.结论 所构建的指标体系适于评价单次上门医疗服务的实施质量,可为社区卫生服务机构制定相关制度与方案提供参考. |
| Abstract_FL | Background With the deepening of aging in China,there is an increasing demand for home care services for disabled elderly individuals.The evaluation of service quality provides an assurance for the implementation of high-quality services.Objective To develop a quality indicator system for the delivery of home care services to the disabled elderly population in Beijing based on the Delphi method,so as to offer objective criteria for evaluating the quality of home care services provided by community health service institutions.Methods Based on literature research and qualitative study,a preliminary pool of indicator system entries for the indicator system was formed,and an expert correspondence form was designed from March to May 2021.A total of 21 community nursing,general practice,and management research personnel experts with rich experience in the field of home medical services and elderly comprehensive assessment in Beijing were selected,and an expert correspondence form was sent to them by email from June to October 2021 to conduct three rounds of Delphi expert correspondence.The experts'personal information and authority were recorded and analyzed,to the establish a quality indicator system for home care services for disabled elderly individuals in Beijing.Results All three rounds of expert correspondence form were returned and valid,with a 100.00%positive coefficient of experts from the 21 selected experts who had a mean expert authority score of 0.927(ranging from 0.700 to 1.000),indicating an acceptable level of expertise.The first,second,and third rounds of expert correspondence yielded importance and feasibility coordination coefficients of 0.170 and 0.140(P<0.001),0.147 and 0.175(P<0.001),0.231 and 0.208(P<0.001),respectively,indicating a high level of consensus among the experts and the reliability of the correspondence results.The resulting quality indicator system for home care services for disabled elderly individuals included three primary indicators of service conditions,service processes,and service outcomes,as well as nine secondary indicators and 34 tertiary indicators.Conclusion The indicator system constructed in this study is appropriate for evaluating the implementation quality of single visit medical service,and providing a reference for community health service institutions to formulate regulations and work programs. |
| Author | 冯郑文 张天程 陈小垒 李卉 邵爽 朱宸立 杜娟 |
| AuthorAffiliation | 100069 北京市,首都医科大学全科医学与继续教育学院%100075 北京市丰台区大红门社区卫生服务中心 |
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| Author_FL | FENG Zhengwen SHAO Shuang CHEN Xiaolei ZHANG Tiancheng LI Hui DU Juan ZHU Chenli |
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| Keywords | Disability 质量评价 Quality 失能 Aged 老年人 德尔菲法 Home care service Delphi method 上门医疗服务 |
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| Title | 北京市失能老人上门医疗服务质量评价指标体系的构建研究 |
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